| NPI | 1568583359 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 28218814A)  | 
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MI 4704214223)  | 
| Enumeration Date | 2007-04-02 | 
| Last Update Date | 2016-09-14 |